DR. MATTHEW JONATHAN SANICKI (NPI# 1114137361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114137361 |
Entity Type | Individual |
Full Name | DR. MATTHEW JONATHAN SANICKI |
Credential | D.C. |
Practice Address |
2751 Roosevelt Rd Building 210, Suite 203 San Diego CA 92106-6180 |
Mailing Address |
2902 Poinsettia Dr San Diego CA 92106-1128 |
Practice Telephone | 6197952224 |
Practice Fax Number | 6197935517 |
Mailing Telephone | 6195011673 |
Mailing Fax Number | 6192992212 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2009-08-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC28735 | CA | Chiropractic Providers |
Street Address |
2751 ROOSEVELT RD BUILDING 210, SUITE 203 |
City | SAN DIEGO |
State | CA |
Zip Code | 92106-6180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740302892 | Kimberly Elizabeth Barnard | Physical Therapist | 2751 Roosevelt Rd, Ste 203, San Diego, CA 92106-6180 | 2007-04-06 |
1194206326 | Gloria Yiu | Speech-Language Pathologist | 2751 Roosevelt Rd, San Diego, CA 92106-6180 | 2018-08-26 |
1669867560 | Susan J. Harris, Inc. | Occupational Therapist | 2751 Roosevelt Rd, Suite 203, San Diego, CA 92106-6180 | 2015-03-30 |
1528369519 | Jessica Michelle Ryan | Physical Therapist | 2751 Roosevelt Rd, Building 210, Ste. 203, San Diego, CA 92106-6180 | 2010-11-08 |
1972826261 | Kathryn Jo Fox | Chiropractor | 2751 Roosevelt Rd, Suite 203, San Diego, CA 92106-6180 | 2010-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
Find all providers in zip 92106 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
1013548601 | Lianna Hunt | Chiropractor | 4616 Pendleton St, San Diego, CA 92109-3719 | 2020-01-31 |
1790328557 | Fillat Chiropractic Inc. | Chiropractor | 10444 Clairemont Mesa Blvd, San Diego, CA 92124-1320 | 2019-10-24 |
1710533591 | Shane Kelly, D.c., LLC | Chiropractor | 10803 Vista Sorrento Pkwy Ste 100, San Diego, CA 92121-2792 | 2019-08-16 |
1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
1457817835 | Sean Patrick Golden | Chiropractor | 11199 Sorrento Valley Rd Ste 201, San Diego, CA 92121-1334 | 2019-02-11 |
1134683766 | Christopher Jepsen | Chiropractor | 9040 Friars Rd # 401, San Diego, CA 92108-5859 | 2019-01-28 |
1346725769 | Ruben Alexander Montane | Chiropractor | 3069 Lincoln Ave, San Diego, CA 92104-3030 | 2018-10-02 |
1033691241 | Jeffrey Ray Greenlee Jr. | Chiropractor | 2245 Fenton Pkwy Ste 109, San Diego, CA 92108-4737 | 2018-09-04 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.